What vitamin is nicotinamide a form of?

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Nicotinamide is Vitamin B3

Nicotinamide (also called niacinamide) is the amide form of vitamin B3 (niacin). 1, 2

Chemical Identity and Forms

  • Vitamin B3 exists in two primary forms: nicotinic acid (niacin) and nicotinamide (niacinamide), both of which serve as precursors to NAD+ (nicotinamide adenine dinucleotide) 1, 2

  • Nicotinamide is converted in the body to NAD+, a coenzyme required by over 400 enzymes for cellular energy metabolism, DNA repair, and numerous other physiological processes 3, 4

  • The body can also synthesize niacin from the amino acid tryptophan at a conversion ratio of approximately 60:1 5

Metabolic Pathway

  • After absorption, nicotinamide is metabolized through pathways that form NAD+ (nicotinamide adenine dinucleotide), which is essential for ATP production and cellular energy 4

  • Nicotinamide is further metabolized to N-methylnicotinamide (MNA) and nicotinamide-N-oxide (NNO), with MNA being converted to N-methyl-2-pyridone-5-carboxamide (2PY) and N-methyl-4-pyridone-5-carboxamide (4PY) 4

  • Urinary metabolites including N-methyl-nicotinamide can be measured to assess vitamin B3 status 5, 3

Key Distinction from Nicotinic Acid

  • Unlike nicotinic acid (the other form of vitamin B3), nicotinamide does not cause flushing, which commonly occurs with nicotinic acid at doses as low as 30 mg 3

  • Nicotinamide does not have the lipid-lowering effects that nicotinic acid possesses 4

  • The upper safety limit for nicotinamide is much higher (approximately 900 mg/day for adults) compared to free nicotinic acid (10 mg/day) 3

Recommended Intake

  • The American College of Nutrition recommends daily niacin intake of 16 mg/day for adult males and 14 mg/day for adult females, with higher amounts for pregnant (18 mg/day) and lactating women (16 mg/day) 3

  • For parenteral nutrition, the recommended niacin dosing is 40 mg/day 3

References

Guideline

NAD+ Supplementation Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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